| NPI | 1376607978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD GLYNN Operations Manager 800-877-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: LA 4950-IR) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |